Active NPI
Bethany Lynn Herlien, M.S., CCC-SLP
- Speech-Language Pathologist
- Wheaton, IL
National Provider Identifier
1295244432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.009949
- Practice address
- 2262 Richmond Dr
Wheaton, IL 60189-8928 - Phone
- (708) 638-0965
- NPI assigned
- Sep 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.009949 | IL | Primary |
Addresses
Primary practice location
2262 Richmond Dr
Wheaton, IL 60189-8928
Mailing address
2262 Richmond Dr
Wheaton, IL 60189-8928
Phone (708) 638-0965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.009949 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505865600000",
"number": "1295244432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2262 RICHMOND DR",
"city": "WHEATON",
"state": "IL",
"postal_code": "601898928",
"telephone_number": "708-638-0965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2262 RICHMOND DR",
"city": "WHEATON",
"state": "IL",
"postal_code": "601898928",
"telephone_number": "708-638-0965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERLIEN",
"first_name": "BETHANY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-20",
"last_updated": "2017-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.009949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.